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General NPI Number Information
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NPI Number | 1699394734
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Entity Type | Individual
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Provider Name | ANTHONY KHA LE VU
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Gender | Male
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6350 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89113-1774
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Country | US
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Telephone | 702-790-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 6350 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89113-1774
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Country | US
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Telephone | 702-790-8000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25819
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License Number State | NV
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